Bx spinal cord pq ndl at Houston Methodist Clear Lake Hospital
18300 St John Drive, Nassau Bay, TX · Houstonmethodist · · NPI 1952723967
$2,983.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$5,966.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$796.11 with Bcbs vs $4,138.00 with Phcs — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Bcbs | Blue Advantage Exchange | $796.11 | ↓ -73% |
| Humana | Hmo/Pos | $1,650.09 | ↓ -45% |
| Bcbs | Medicare Managed Care - Hmo | $1,659.12 | ↓ -44% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,684.01 | ↓ -44% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,692.31 | ↓ -43% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,708.90 | ↓ -43% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $1,742.08 | ↓ -42% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $1,775.26 | ↓ -40% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,825.04 | ↓ -39% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $2,052.00 | ↓ -31% |
| Cigna | Network C-24 Hmo/Ppo | $2,052.00 | ↓ -31% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $2,173.00 | ↓ -27% |
| Aetna | New Business Discount Other Commercial Plan | $2,221.00 | ↓ -26% |
| Aetna | Hmo/Pos/Ppo | $2,290.00 | ↓ -23% |
| Community Health Choice | Silver & Gold Exchange | $2,704.37 | ↓ -9% |
| Bcbs | All Commercial Plans | $2,800.10 | ↓ -6% |
| Entrust | All Commercial Plans | $2,956.00 | ↓ -1% |
| Optum Health | Transplant Medicare Managed Care Plan | $3,235.29 | ↑ +8% |
| Molina Healthcare | Exchange | $3,318.25 | ↑ +11% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↑ +31% |
| Phcs | Ppo | $4,138.00 | ↑ +39% |
Visitor-reported prices
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Bx spinal cord pq ndl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Mansfield | Mansfield | $8,656.53 | $1,659.12 – $3,318.25 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $806.85 | $486.45 – $3,042.74 |
| CHRISTUS Health - West Beaumont | Beaumont | $1,112.43 | $486.45 – $4,989.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $2,983.00 | $1,650.09 – $4,138.00 |
| Houston Methodist Cypress Hospital | Cypress | $2,983.00 | $1,659.12 – $4,138.00 |
| Houston Methodist Willowbrook Hospital | Houston | $2,983.00 | $1,650.09 – $4,138.00 |
| Houston Methodist Continuing Care Hospital | Katy | $2,983.00 | $2,290.00 – $3,894.00 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $2,983.00 | $1,650.09 – $4,138.00 |